印尼居家看護自覺所需照顧支持之問卷發展與驗證

Development and Validation of a Questionnaire to Measure Self-Perceived Needs for Care Supportive among Indonesian Home Care Aides

王琪珍(Chi-Jane Wang) ； 楊雅萍(Ya-Ping Yang) ； 陳俞成(Yu-Cheng Chen) ； 王靜枝(Jing-Jy Wang)

《台灣公共衛生雜誌》 32卷2期 (2013/04) Pp. 179-191

https://doi.org/10.6288/TJPH2013-32-02-08

摘要

目標：發展與驗證印尼居家看護自覺所需照顧支持問卷之信效度。方法：三階段進行，第一階段為問卷發展及內容效度檢定，第二階段為印尼文翻譯及效度檢定，第三階段則邀請120位印尼籍居家看護進行印尼版問卷信效度檢定。參考House所提工具、資訊、情緒及評價等四種社會支持資源為架構，來擬定照顧支持問卷。以內在一致性檢定信度，以探索性因素分析及驗證性因素分析（結構方程模式）檢定建構效度，並以皮爾森相關係數檢定同時效度。結果：照顧支持問卷起初擬22題，經探索性因素分析縮減至11題，依題意亦歸為情緒、資訊、工具與評價支持等四個因素，各因素負荷量0.63～0.82，總解釋變異量61.74%，經結構方程模式驗證，顯示此四個因素之模式適配度、收歛及區別效度是良好，具有效度。題數縮減後，內在一致性KR-20為0.53～0.65，顯示具可信度。各因素與研究對象之人口學特徵達顯著相關，顯示具同時效度。結論：本研究所發展之照顧支持問卷，經檢驗具良好的信效度，並能有效供評估印尼籍居家看護照顧所需之支持參考。

關鍵字

居家印尼籍看護 ； 照顧支持 ； 問卷發展 ； 驗證性因素分析

並列摘要

Objectives: The purpose of this study was to develop and validate a questionnaire to measure self-perceived needs for supportive care among Indonesian home care aides. Methods: This study was conducted in three phases: Phase one covered the development of the questionnaire items and the evaluation of content validity by experts. In Phase 2, the questionnaire was translated into Indonesian and the validity of the translated version was determined. In the final phase, 120 Indonesian home care aides were recruited in order to establish the reliability and validity of the questionnaire. Items on the questionnaire were designed based on House's social support model which includes four types of resources: instruments, information, emotion and evaluation. Data were analyzed using KR-20 for internal consistency of the items, exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) using a structural equation model (SEM) for construct validity, and Pearson's correlation coefficient for concurrent validity. Results: Eleven of the original 22 items were retained through EFA; four factors were categorized as emotion, information, instruments, and evaluation. The factor loading of the four factors ranged from 0.63 to 0.82 and accounted for 61.74% of the total variance. The SEM approach indicated a satisfactory model-fit and convergent and discriminant validity. The item consistency reliability was 0.53- 0.65 for the 11 items, indicating good reliability. Conclusions: This measurement of self-perceived need for social support was valid and reliable. It can be an effective assessment tool with Indonesian home care aides.

並列關鍵字

Indonesian home care aides ； care support ； questionnaire development ； confirmatory factor analysis

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